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NOCR Annual Meeting 2013
BREAST CANCER SURVIVORSHIP
PANEL DISCUSSION
The Institute of Medicine in its 2005 report:
Lost in Transition:
From Cancer Patient to Cancer Survivor
The Four Components of Survivorship Care
recommended include:
1. Prevention and Detection of New Cancers
2. Surveillance for cancer recurrence or new cancers
and interventions for consequences of cancer and
its treatment.
The 2005 Institute of Medicine Report
3. Psychological Distress Management
4. Coordination between Specialists and Primary
Care Providers to Ensure that Survivors’ Health
Care Needs are Met
To address these components of care it was
recommended that Cancer Care Specialists
provide patients, care givers and PCPs with
a Survivorship Care Plan.
SURVIVORSHIP CARE PLANS
What are they?
When Should SCPs be Provided?
To Whom Should SCPs be Given?
What Should be Included in the SCP?
Do you or your institution have standard SCPs
or do you use an online source:
such as ASCO’s Cancer.net
or Journey Forward or ACS Guidelines?
Management of Premature Menopause in
Breast Cancer Survivors <50 years of age
How common does this occur after
chemotherapy or hormonal therapy?
Is Premature menopause always a Bad Thing?
What can be safely & effectively done to
ameliorate symptoms?
Nutrition, Weight Control and Fatigue
Foods to Eat?
Foods to Avoid?
What about Vitamins?
Is alcohol a No-No?
Does achieving and maintaining a BMI well
under 30 really matter?
How important is regular physical exercise?
Anxiety, Depression & Fear of
Recurrence
Allaying Fear without False Hope?
The Role of Support Groups
-Do they help?
-Are they beneficial for everyone?
When to Call In the Psych Team
Chemo Brain – The gift that keeps on giving
Issues in Breast Cancer Survivorship
Any Questions for the Panel?